MR. C THOMAS BRODEGARD (NPI# 1659577542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659577542 |
| Entity Type | Individual |
| Full Name | MR. C THOMAS BRODEGARD |
| Practice Address |
3 E Benjamin Dr New Martinsville WV 26155-2705 |
| Practice Telephone | 3044558000 |
| Mailing Telephone | 3044558000 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 745 | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3 E BENJAMIN DR |
| City | NEW MARTINSVILLE |
| State | WV |
| Zip Code | 26155-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780683847 | Vincent Edward Monseau | Emergency Medicine | 3 E Benjamin Dr, New Martinsville, WV 26155-2705 | 2005-07-20 |
| 1518590033 | Wetzel County Hospital, Inc. | Family Medicine | 3 E Benjamin Dr, New Martinsville, WV 26155-2705 | 2020-02-13 |
| 1376175240 | Wetzel County Hospital, Inc. | Medicare Defined Swing Bed Unit | 3 E Benjamin Dr, New Martinsville, WV 26155-2758 | 2020-02-10 |
| 1255963120 | Wetzel County Hospital, Inc. | Clinic/Center | 3 E Benjamin Dr, New Martinsville, WV 26155-2705 | 2020-02-10 |
| 1962867408 | Wheeling Hospital, Inc. | Radiology | 3 E Benjamin Dr, New Martinsville, WV 26155-2705 | 2015-12-29 |
| 1770968596 | James Edward Weed | Nurse Practitioner | 3 E Benjamin Dr, New Martinsville, WV 26155-2705 | 2015-07-22 |
| 1760823082 | Erx Group, LLC | Emergency Medicine | 3 E Benjamin Dr, New Martinsville, WV 26155-2705 | 2013-07-15 |
| 1033366265 | First Settlement Orthopaedics Inc | Orthopaedic Surgery | 3 E Benjamin Dr, New Martinsville, WV 26155-2705 | 2008-08-19 |
| 1497915235 | Jonathan C. Blum | Internal Medicine | 3 E Benjamin Dr, New Martinsville, WV 26155-2705 | 2008-06-16 |
| 1730396482 | Wetzel County Hospital | Durable Medical Equipment & Medical Supplies | 3 E Benjamin Dr, New Martinsville, WV 26155-2705 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366905986 | Wheeling Hospital Inc | Clinic/Center | 253 West Virginia State Route 2, New Martinsville, WV 26155 | 2019-04-10 |
| 1053893412 | Diedra Shanel Huggins | Registered Nurse | 333 Foundry Street, New Martinsville, WV 26155 | 2018-09-02 |
| 1831615574 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1021 3rd St, New Martinsville, WV 26155 | 2017-08-15 |
| 1366747099 | David Michael Cole | Pharmacist | 520 North State Route 2, New Martinsville, WV 26155 | 2011-01-11 |
| 1194973347 | Air Evac Ems Inc | Ambulance | 2 E Benjamin Dr, New Martinsville, WV 26155 | 2008-08-29 |
| 1568630770 | Neill R Marshall Od PC | Optometrist | 903 Third Street, New Martinsville, WV 26155 | 2008-02-11 |
| 1083805055 | New Martinsville Counseling Center Inc. | Social Worker | 525 Third St., New Martinsville, WV 26155 | 2007-08-06 |
| 1124225859 | Wetzel County Homecare | Home Health | 299 N St Rt 2, New Martinsville, WV 26155 | 2007-06-27 |
| 1265650113 | Florence Crittenton Services, Inc. | Counselor | 761 Third Street, New Martinsville, WV 26155 | 2007-04-23 |
| 1548327067 | Phillip Kenneth Slampak | Podiatrist | 317 Witten Lane, New Martinsville, WV 26155 | 2007-01-03 |
| Find all providers in zip 26155 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043722143 | Alexa Isaly | Occupational Therapist | 333 Foundry St, New Martinsville, WV 26155-1142 | 2017-10-30 |
| 1982092441 | Christy Heise | Occupational Therapist | 225 Russell Ave, New Martinsville, WV 26155-1572 | 2015-01-06 |
| 1790968352 | Lydia Rachele Brodegard | Occupational Therapist | 333 Foundry St, New Martinsville, WV 26155-1142 | 2007-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912517665 | Laura Bashour | Occupational Therapist | 105 Stanley St, Morgantown, WV 26508-9115 | 2020-08-07 |
| 1043838345 | Kristi A Fawcett | Occupational Therapist | 205 Shawnee Est, Winfield, WV 25213-9710 | 2020-07-13 |
| 1164046090 | Mayflower LLC | Occupational Therapist | 202 Hidden Hollow Ln, Cameron, WV 26033-1671 | 2020-06-06 |
| 1134778459 | Carly Ann Harris | Occupational Therapist | 1228 National Rd, Wheeling, WV 26003-5787 | 2019-09-09 |
| 1386206910 | Paige A Harman | Occupational Therapist | 26 Commerce Dr, Westover, WV 26501-3874 | 2019-07-03 |
| 1306401807 | Rae Ann Smith | Occupational Therapist | 1 Diane Dr., Fort Ashby, WV 26719 | 2019-05-09 |
| 1588229165 | Jaimie K Merinar | Occupational Therapist | 2478 Sand Hill Rd, Wheeling, WV 26003-8926 | 2019-05-08 |
| 1063972099 | Phillip King | Occupational Therapist | 225 Sunbridge Dr., Salem, WV 26426 | 2019-03-25 |
| 1366916546 | Professional Sportscare & Rehab of West Virginia, LLC | Occupational Therapist | 34 W Virginia Way, Ranson, WV 25438-4882 | 2019-01-22 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| Find all providers with the same taxonomy | ||||
| City | NEW MARTINSVILLE |
| Zip Code | 26155 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.